Lateral corticospinal tract

Last revised by Rohit Sharma on 19 Feb 2024

The lateral corticospinal tract is formed at the level of the of the medullary pyramids when the majority (90%) of descending corticospinal tract fibres decussate. The remaining 10% do not decussate and form the much smaller anterior corticospinal tract. A few non-decussated fibres may enter the lateral corticospinal tract 1,2

The lateral corticospinal tract descends along the lateral funicular and then lies anterolateral to the dorsal horn. As it descends it deviates to the dorsolateral surface of the spinal cord, with individual fibres leaving the tract to synapse with grey matter motor neurones within the ventral horns. As more fibres leave the corticospinal tract commensurately diminishes in size. At approximately the fourth sacral level, it terminates entirely.

Function

The lateral corticospinal tract mostly mediates fine-motor movement of the upper and lower limbs 3

Related pathology

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